Page 49 - Appendices for Rick Leininger
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$1,176.02 Retail pharmacy: Estimated total drug + premium cost
$1,240.60 Mail-order pharmacy: Estimated total drug + premium cost
DEDUCTIBLE
$445.00 Drug deductible
Elixir RxSecure (PDP)
Elixir Insurance | Plan ID: S7694-032-0
Star rating:
MONTHLY PREMIUM
$30.80 Includes: Only drug coverage
YEARLY DRUG & PREMIUM COST
$1,186.28 Retail pharmacy: Estimated total drug + premium cost
$1,322.08 Mail-order pharmacy: Estimated total drug + premium cost
DEDUCTIBLE
$445.00 Drug deductible
Blue Shield Rx Enhanced (PDP)
Blue Shield of California | Plan ID: S2468-004-0
Star rating:
MONTHLY PREMIUM
$130.40 Includes: Only drug coverage
YEARLY DRUG & PREMIUM COST
